Active NPI
Cathy J Konkler, P.T.
- Physical Therapist
- Newark, OH
National Provider Identifier
1982796785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2811
- Practice address
- 159 W Main St
Newark, OH 43055-5007 - Phone
- (740) 345-2837
- NPI assigned
- Sep 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2811 | OH | Primary |
Addresses
Primary practice location
159 W Main St
Newark, OH 43055-5007
Mailing address
11177 Lambs LN
Newark, OH 43055-9779
Phone (740) 763-0408
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0133644 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Licking Rehabilitation Services, Inc | Past | Accepting new patients | |
| Rehabilitative Associates Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- Heath, OH
- NPI 1396104626
-
- Occupational Therapist
- Pickerington, OH
- NPI 1770672099
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241136000000",
"number": "1982796785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11177 LAMBS LN",
"city": "NEWARK",
"state": "OH",
"postal_code": "430559779",
"telephone_number": "740-763-0408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 W MAIN ST",
"city": "NEWARK",
"state": "OH",
"postal_code": "430555007",
"telephone_number": "740-345-2837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONKLER",
"first_name": "CATHY",
"middle_name": "J",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2009-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "2811",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0133644",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.